探究经阴道和经腹部超声联合诊断多囊卵巢综合征的临床价值  

Exploring the clinical value of combined transvaginal and transabdominal ultrasound in the diagnosis of polycystic ovary syndrome

作　　者：王萍[1] 林厚强 WANG Ping;LIN Houqiang(Department of Ultrasound,Shunde Hospital Affiliated to Jinan University,Foshan,Guangdong 528305,China)

机构地区：[1]暨南大学附属顺德医院<佛山市顺德区第二人民医院><佛山市顺德区冯尧敬纪念医院>超声科,广东佛山528305

出　　处：《影像研究与医学应用》2024年第23期38-41,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨经阴道和经腹部超声联合诊断多囊卵巢综合征(PCOS)的价值。方法:选取2020年1月—2023年12月暨南大学附属顺德医院收治的100例疑似PCOS患者,均行经腹部超声(TAUS)、经阴道超声(TVUS)检查,并以临床综合诊断为金标准,统计TAUS与TVUS对PCOS的检出情况及诊断价值;并经Kappa检验验证不同方法与金标准的一致性;比较PCOS与非PCOS患者在卵巢面积增加、多囊性征象、髓质回声异常征象方面的差异。结果:100例疑似患者经金标准确诊76例。TAUS检出70例,阳性率为92.11%(70/76);TVUS检出71例,阳性率为93.42%(71/76);联合检查检出75例,阳性率为98.68%(75/76);联合检查诊断PCOS的灵敏度、准确率高于TAUS、TVUS单一检查,阴性预测值高于TAUS检查,差异有统计学意义(P<0.05);Kappa检验显示,TAUS与金标准的一致性尚可(Kappa值=0.646);TVUS与金标准的一致性尚可(Kappa值=0.719);联合检查与金标准的一致性极好(Kappa值=0.919);PCOS患者卵巢面积增加、多囊性征象、髓质回声异常占比分别为19.74%、69.74%、78.95%,均高于非PCOS患者的0、16.67%、20.83%,差异有统计学意义(P<0.05)。结论:TAUS、TVUS在PCOS诊断中具有一定价值,联合检查可提高诊断效能,使得诊断灵敏度、准确度得到明显提升,利于减少漏诊、误诊,实现疾病早期针对性治疗。Objective To explore the value of combined transvaginal and transabdominal ultrasound in the diagnosis of polycystic ovary syndrome(PCOS).Methods A total of 100 suspected PCOS patients admitted to Shunde Hospital Affiliated to Jinan University from January 2020 to December 2023 were selected,all of whom underwent transabdominal ultrasonography(TAUS)and transvaginal ultrasonography(TVUS).Clinical comprehensive diagnosis was used as the gold standard,the detection and diagnostic value of TAUS and TVUS for PCOS were statistically analyzed;and verify the consistency between different diagnostic methods and the gold standard through Kappa testing;compared the differences between PCOS and non PCOS patients in terms of increased ovarian area,polycystic signs,and abnormal medullary echogenicity.Results Out of 100 suspected patients,76 were confirmed by the gold standard,of which 70 were detected by TAUS,with a positive rate of 92.11%(70/76);71 cases were detected by TVUS,with a positive rate of 93.42%(71/76);75 cases were detected in the joint examination,with a positive rate of 98.68%(75/76);the diagnostic sensitivity and accuracy of joint examination were higher than TAUS and TVUS examinations,and the negative predictive value was higher than TAUS examination(P<0.05);the Kappa test showed that the consistency between TAUS and the gold standard was acceptable(Kappa value=0.646);the consistency between TVUS and the gold standard is acceptable(Kappa value=0.719);the consistency between the joint inspection and the gold standard is excellent(Kappa value=0.919);the proportion of increased ovarian area,polycystic signs,and abnormal medullary echo in the PCOS patients was 19.74%,69.74%,and 78.95%,respectively,significantly higher than that in the non PCOS patients at 0.00%,16.67%,and 20.83%(P<0.05).Conclusion TAUS and TVUS have certain value in the diagnosis of PCOS.Combined examination can improve diagnostic efficiency,significantly improve diagnostic sensitivity and accuracy,reduce missed diagnosis and misdiagnosis,and achi

关 键 词：多囊卵巢综合征 经阴道超声检查 经腹部超声检查 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]